Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 10431 | TN |
N | 363LW0102X | Nurse Practitioner - Women's Health | APN0000010431 | TN |
NPI | 1083747703 |
---|---|
Provider Name | Ms. Christina N Goss |
First Address | Knoxville, TN 37920 |
Second Address | Knoxville, TN 37920 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 28/06/2013 |